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Application Form

Student Name*
Name is Required
Name of the Father/Guardian*
Father Name is Required
Mother's Name*
Mother's Name is Required
Religion*
Religion is Required
Category*
Select category
Caste / Sub-caste*
Caste is Required
Gender*
Select Gender
Handicap*
Select handicap or not
Nationality*
Select your nationality
Date Of Birth*
Date Of Birth is required
Aadhar Number
Aadhar Number is required
Photo* Upload photo
Click to upload
Photo

Upload clearly visible photo having a width of 190 pixels and height of 220 pixels

Maximum size allowed is 100kb

Signature* Upload Signature
Click to upload Signature

Ensure a clearly visible image of your signature with width of 190 pixels and height of 50 pixels

Permanent Address*
All fields in Address are required
Communication Address*   
All fields in Address are required
Mobile Number*
Mobile number is required
LandLine Number(with STD code)
Email Address*
Email Address is required
Provisional Reg. No.*
Provisional Reg. No. is required
Bank A/c number*
Bank A/c number is required
Branch*
Branch is required
IFSC Code*
IFSC Code is required
Provisional Reg. Date*
Provisional Reg. is required
Subject Applied For *
Course is required
Total Amount
Fees Not defined Contact University

Application Status



Application Number: